Deficiency Records for Montrose Health Center
Updated as of November 01, 2022
This is not the most recent data for Montrose Health Center. For the most recent information, click here.
A list of the most recent deficiencies for Montrose Health Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-19 | 2021-09-08 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-08-23 | 2021-09-08 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-08-23 | 2021-09-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-23 | 2021-09-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-23 | 2021-09-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-23 | 2021-08-31 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-08-23 | 2021-08-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-08-23 | 2021-08-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-08-23 | 2021-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-03 | 2020-12-18 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-02-27 | 2020-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-03-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-27 | 2020-03-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-27 | 2020-02-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-27 | 2020-02-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-31 | 2019-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-31 | 2019-03-01 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-01-31 | 2019-03-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-31 | 2019-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-31 | 2019-03-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-01-31 | 2019-03-01 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-01-31 | 2019-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-31 | 2019-03-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-01-31 | 2019-03-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-31 | 2019-03-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-31 | 2019-03-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-31 | 2019-03-01 | N |
